Implementation and Adoption of Neonatal Point-of-Care Ultrasound Across a Regional Collaborative: A Multicenter Survey

Objective To characterize program maturity, infrastructure readiness, and clinical integration of neonatal point-of-care ultrasound (POCUS) across a regional collaborative. Study Design: Cross-sectional survey of neonatal intensive care units participating in the New England Regional POCUS Collaborative. A 34-item survey assessed experience, integration, quality assurance (QA) processes, documentation practices, and training strategies. Data were analyzed descriptively. Result Twenty-eight responses representing predominantly academic NICUs were analyzed. Most programs were early in development, with 69% self-identifying as emerging and 89% reporting fewer than three years of experience. Procedural applications were most common, whereas diagnostic uses were less consistently integrated. Although 62% reported moderate-to-high institutional support, only 23% had established QA processes and routine documentation was uncommon. Conclusion Neonatal POCUS adoption is widespread but developmentally early. Predominance of procedural use and limited integration into major clinical decision-making suggest that maturation of governance structures and training frameworks may be necessary to support sustainable diagnostic expansion